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1003 Symptom Severity and Quality of Life Among Long Term Metastatic Breast Cancer Survivors Chloe Hery 1 , Kayla Williams 1 , Juan Peng 2 , Ashley Davenport 1 , Michelle Naughton 1 1 The Ohio State University College of Medicine, Columbus, Ohio, USA, 2 The Ohio State University, Columbus, Ohio, USA Journal of Patient-Reported Outcomes 2026 , 10(Suppl 1) :1003 Aims Metastatic breast cancer (MBC) survivors have unique psychosocial and medical needs that may go unrecognized